DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Krajcir, Stacie P	DOIID	1052687	NAIC NPN	6406492

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	8/21/2019	2/28/2022
Inactive	Non Resident	Agent	Property	8/21/2019	2/28/2022
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	10/9/2019	2/28/2022
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Piiq Risk Partners Inc	1059378	Agent - Casualty	10/7/2019	10/21/2021
Inactive	Piiq Risk Partners Inc	1059378	Agent - Property	10/7/2019	10/21/2021
Inactive	Piiq Risk Partners Inc	1059378	Surplus Lines Broker - Not Applicable	10/16/2019	10/21/2021